| 1. |
- Carlsson, Gunnar E, 1930, et al.
(author)
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Attitudes toward dental appearance in 50- and 60-year-old subjects living in Sweden
- 2008
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In: Journal of Esthetic and Restorative Dentistry. - : Wiley. - 1496-4155 .- 1708-8240. ; 20:1, s. 46-56
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Journal article (peer-reviewed)abstract
- Background: Attitudes towards the importance of general appearance has varied much not only over time but also among groups of individuals of different age and other characteristics. Whether the situation is similar regarding dental appearance does not seem to have been studied. Purpose: The aim was to study differences in attitudes towards dental appearance between two large samples of 50- and 60-year-old subjects. Materials and Methods: Identical questionnaires were sent to all subjects born in 1942 and 1952 living in two Swedish counties in 2002 (n=17444; n50=8881; n60=8563). The final response rate was 72.2% (n=12599). In this study, responses to four statements on the importance of dental appearance have been analyzed with respect to gender and age. Results: Many of the responses to the four statements differed with gender and age. To the first statement (“To have beautiful and perfect teeth is very important for how you are treated by other people”), 73 % agreed at age 60 compared to 64 % at age 50 (P < 0.001). Approximately 90 % of the subjects agreed to the second statement (“Minor aesthetic imperfections of the teeth have no importance, only they function well”). Logistic regression indicated that several variables were significantly associated with the statements. Besides age and gender, education and self-assessed dental problems were most important. Conclusion: Attitudes towards the importance of dental appearance differed both between genders and age groups. CLINICAL SIGNIFICANCE The varying attitudes towards dental appearance in the population must be acknowledged in treatment decisions.
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| 2. |
- Carlsson, Gunnar E, 1930, et al.
(author)
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Occlusie en gebitsslitage
- 2015
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In: Occlusie en articulatie. - 978 90 8562 141 6 ; , s. 62-79
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Book chapter (other academic/artistic)
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| 3. |
- Johansson, Anders, 1957, et al.
(author)
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A 10-year longitudinal study of self-assessed chewing ability and dental status in 50-year-old subjects.
- 2007
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In: Int J Prosthodont. ; 20:6, s. 643-645
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Journal article (peer-reviewed)abstract
- Chewing ability and dental status were assessed in two Swedish counties by questionnaires sent in 1992 and in 2002 to all subjects born in 1942. Those who answered both questionnaires – at ages 50 and 60 – were included in the study (n = 5008). The proportion of those who reported chewing ability as very good decreased from 75 % to 66 % during the 10-year follow-up. Approximately 80 % of complete denture wearers considered their chewing ability to be good. Chewing ability was reported to be worse at age 60 than at age 50, although there was only a minor impairment in dental status
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| 4. |
- Johansson, Ann-Katrin, et al.
(author)
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A 15-yr longitudinal study of xerostomia in a Swedish population of 50-yr-old subjects
- 2009
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In: EUROPEAN JOURNAL OF ORAL SCIENCES. - : Wiley. - 0909-8836 .- 1600-0722. ; 117:1, s. 13-19
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Journal article (peer-reviewed)abstract
- The aim of this study was to determine the changes in prevalence of xerostomia in subjects from 50 to 65 yr of age. Questionnaires were sent to all subjects who were born in 1942 and were living in two Swedish counties in 1992, 1997, 2002, and 2007. The analyses focused on those who answered the questionnaires both in 1992 and in 2007. The response rate was 71.4% (n = 6,346) in 1992 and 73.1% (n = 6,078) in 2007. Of those who answered the questionnaire in 1992, 74.3% (n = 4,714) also responded in 2007. There was an almost linear increase in the prevalence of xerostomia at the four study time-points (i.e. when the subjects were 50, 55, 60, and 65 yr of age). Xerostomia was more prevalent at night than during the day. The pooled prevalence of night-time and daytime xerostomia was 6% at 50 yr of age and 15% at 65 yr of age, and it was higher in women than in men on both occasions. Logistic regression analyses showed that impaired health and smoking were significantly associated with daytime xerostomia but not with night-time xerostomia. Despite the increase in prevalence of xerostomia from 50 to 65 yr of age, there was considerable variation during the observation period. The incidence rate was 13% (507/4,015) and the disappearance rate was 42% (104/250) (dichotomized answers).
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| 5. |
- Johansson, Ann-Katrin, 1957, et al.
(author)
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Dental erosion and its growing importance in clinical practice: From past to present
- 2012
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In: International journal of dentistry. - : Hindawi Limited. - 1687-8728 .- 1687-8736. ; 2012
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Research review (peer-reviewed)abstract
- Since the mid-1990s, the focus of studies on tooth wear has steadily shifted from the general condition towards the more specific area of dental erosion; equally, a shift has occurred from studies in adults to those in children and adolescents. During this time, understanding of the condition has increased greatly. This paper attempts to provide a critical overview of the development of this body of knowledge, from earlier perceptions to the present. It is accepted that dental erosion has a multifactorial background, in which individual and lifestyle factors have great significance. Notwithstanding methodological differences across studies, data from many countries confirm that dental erosion is common in children and young people, and that, when present, it progresses rapidly. That the condition, and its ramifications, warrants serious consideration in clinical dentistry, is clear. It is important for the oral healthcare team to be able to recognize its early signs and symptoms and to understand its pathogenesis. Preventive strategies are essential ingredients in the management of patients with dental erosion. When necessary, treatment aimed at correcting or improving its effects might best be of a minimally-invasive nature. Still, there remains a need for further research to forge better understanding of the subject.
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| 6. |
- Johansson, Ann-Katrin, et al.
(author)
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Dentists and eating disorders - knowledge, attitudes, management and experience
- 2009
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In: Swedish Dental Journal. - 0347-9994. ; 33:1, s. 1-9
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Journal article (peer-reviewed)abstract
- The aims of the present study were to explore the level of knowledge and attitudes among dentists in relation to patients with eating disorders (ED) and evaluate the extent to which patients with ED are identified and/or treated in the dental setting. A postal questionnaire was constructed and sent to all dentists (n=367) in two Swedish counties during November 200S. The questionnaire comprised 29 questions or statements in the following categories: demographics, general knowledge of ED and its oral consequences, experience of and attitudes towards patients with ED and interaction within the health care system,for example, referrals and treatment options regarding this patient group. The response rate was 70% (n=258). Perceived knowledge about ED was most commonly obtained from media sources, namely newspapers, television, etc. Few dentists knew that there existed specialized referral units for ED patients in their county. The majority of dentists stated that they had seen only a few such patients during their practice. Even though the perceived level of general knowledge about ED among female dentists appeared to be better than among male dentists,they also found it more difficult to inform the patient/relatives about their suspicion of the condition. Female dentists referred to specialists significantly more frequently than did males. Eighty-six percent of responders reported that they needed more training in dental management of patients with ED. Knowledge and clinical experience of dentists as regards patients with ED were found to be low. The level of education in this area needs to be improved, which would have the potential to encourage dentists to become more involved in secondary and tertiary prevention and management of ED.
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| 7. |
- Johansson, Ann-Katrin, et al.
(author)
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Eating disorders : knowledge, attitudes, management and clinical experience of Norwegian dentists
- 2015
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In: BMC Oral Health. - : BioMed Central (BMC). - 1472-6831. ; 15
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Journal article (peer-reviewed)abstract
- Background: The purpose of this study was to investigate knowledge, attitudes and clinical experience with regard to patients with eating disorders (ED) among Norwegian dentists. Methods: In 2010, a questionnaire was sent to all dentists in Norway (N = 4282) comprising 33 questions related to demographics of the participating dentists, their knowledge of ED (general and oral health aspects), clinical experience, attitudes and perceived management preferences. Results: The participation rate was 40 % (47 % women and 53 % men). Their knowledge about ED was often retrieved from common media sources and the greater part of the participants reported they had seen very few patients with ED during their professional career. Female dentists reported superior knowledge about ED compared to males, but the former experienced greater difficulties to inform about the condition. Referrals of the patient to other health facilities were significantly more common among female compared to male dentists. The majority of dentists (76 %) reported a need of more education related to ED management. Conclusions: The Norwegian dentists in this study reported limited clinical experience and insufficient knowledge regarding ED. There is therefore a need to increase both undergraduate and continuing education in this field, which can improve preventive and management measures that a dentist can provide for ED patients.
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| 8. |
- Johansson, Ann-Katrin, et al.
(author)
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Eating disorders and oral health : a matched case-control study
- 2012
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In: European Journal of Oral Sciences. - : Wiley-Blackwell. - 0909-8836 .- 1600-0722. ; 120:1, s. 61-68
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Journal article (peer-reviewed)abstract
- The aim was to compare the oral health status of patients with eating disorders (EDs), with sex-and age-matched controls, with a view to identify self-reported and clinical parameters that might alert the dental healthcare professional to the possibility of EDs. All patients who entered outpatient treatment in an ED clinic during a 12-month period were invited to participate. Of 65 ED patients who started psychiatric/medical treatment, 54 agreed to participate. Eating disorder patients and controls answered a questionnaire and underwent dental clinical examinations. Multivariate analysis identified significantly higher ORs for ED patients to present dental problems (OR = 4.1), burning tongue (OR = 14.2), dry/cracked lips (OR = 9.6), dental erosion (OR = 8.5), and less gingival bleeding (OR = 1.1) compared with healthy controls. Sensitivity and specificity for the correct classification of ED patients and controls using the five variables was 83% and 79%, respectively. The ED patients with vomiting/binge eating behaviors reported worse perceived oral health (OR = 6.0) and had more dental erosion (OR = 5.5) than those without such behavior. In ED patients with longer duration of the disease, dental erosion was significantly more common. In conclusion, oral health problems frequently affect ED patients, and this needs to be considered in patient assessment and treatment decisions.
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| 9. |
- Johansson, Ann-Katrin, 1957, et al.
(author)
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Eating disorders and signs and symptoms of temporomandibular disorders. A matched case-control study
- 2010
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In: Swedish Dental Journal. - 0347-9994. ; 34:3, s. 139-147
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Journal article (peer-reviewed)abstract
- The aim of the study was to examine signs and symptoms related to temporomandibular disorders (TMD) in patients with eating disorders (ED) and to compare the prevalence with that in sex- and age-matched controls. During a 12-month period, all patients (n=65) who accepted and initiated psychiatric/medical outpatient treatment in an Eating Disorder Clinic/Erikbergsgården, Örebro, Sweden were invited to participate in the study. Of the ED patients, 54 (83 %) accepted participation. ED patients and controls underwent a comprehensive TMD questionnaire and clinical examination. Reported symptoms such as headache, facial pain, jaw tiredness, tongue thrusting, and lump feeling in the throat as well as dizziness, concentration difficulties and sleep disturbances were all significantly more prevalent among ED patients compared to controls. There was also a significantly higher prevalence of clinical TMD signs in the ED patients. Analyses within the ED group showed that those who reported self-induced vomiting reported significantly more heavy feeling in the head, nausea and snoring. Those with binge eating reported significantly more heavy feeling in the head, facial pain, dizzy feeling and concentration difficulties. No significant differences regarding subjective symptoms and clinical signs of TMD were found within the ED group with respect to duration of ED. In conclusion, orofacial pain and TMD related signs and symptoms are significantly more common in ED patients than in matched control subjects. Special emphasis should be made to those who reports vomiting and/or binge eating behaviors.
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| 10. |
- Johansson, Ann-Katrin, 1957, et al.
(author)
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Prevalence of Self-Reported Xerostomia in 50- and 60-Year-Old Subjects
- 2008
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In: International Journal of Clinical Dentistry. ; 1:2, s. 93-101
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Journal article (peer-reviewed)abstract
- Purpose: To study age and gender differences regarding xerostomia in 50- and 60-year-old subjects. It was hypothesized that the prevalence would be higher in women and among older subjects. Methods: Identical questionnaires were sent to all subjects born in 1942 and 1952 living in two Swedish counties in 2002 (n=17138). The final response rate was 72.8%. Responses regarding day- and nighttime xerostomia were analyzed. Results: The prevalence of "often dry mouth" ranged from 6.9 % in 50-year-old men to 16 % in 60-year-old women. Xerostomia was more common at age 60 compared to 50 and more common in women compared to men. Approximately twice as many subjects perceived "often dry mouth" at nighttime compared to daytime. Logistic regression showed that xerostomia was associated with impaired general and oral health. The hypothesis that xerostomia was higher in women and among the older subjects was confirmed. Clinical significance: The dramatic increase of self-reported xerostomia between age 50 and 60, especially among women, needs to be considered in the management of this age group.
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